| NPI | 1073617544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME112496) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 49938) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME112496) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2023-11-13 |